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Search Results: 1 - 10 of 12429 matches for " Roman;Soares "
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Auditoria médica: avalia o de alguns procedimentos inseridos no programa de aten o integral à saúde da mulher no posto de saúde da Vila Municipal, Pelotas, Rio Grande do Sul, Brasil
Costa Juvenal Soares Dias da,Roman Vania Rosa,Luz Rafael Moura da,Manzolli Patricia Portantiolo
Cadernos de Saúde Pública , 1998,
Abstract: Este estudo, mediante auditoria médica, avalia a qualidade da aten o médica no Posto de Saúde da Vila Municipal, Pelotas, Rio Grande do Sul. Por meio do levantamento de dados registrados nos prontuários de família em 1992, 1993 e 1994, foram coletadas informa es referentes às atividades do Programa de Aten o Integral à Saúde da Mulher (PAISM), como, por exemplo, a idade da paciente, número de consultas médicas e n o médicas, aferi o de press o arterial, se as mamas haviam sido examinadas, cobertura do exame citopatológico e uso de método contraceptivo. Verificou-se que, em média, as mulheres consultam-se neste servi o 3,5 a quatro vezes por ano. Destas, 53% encontram-se na faixa etária entre vinte e 39 anos de idade. Quanto à cobertura de exame citopatológico, encontrou-se registro de 42,5% procedimentos realizados nos últimos três anos. Entre as mulheres que tiveram suas mamas examinadas, 19,4% foram registradas. A aferi o da tens o arterial foi o procedimento estudado que atingiu a cobertura mais elevada nesta auditoria. Acredita-se que o cuidado ao paciente também depende da qualidade do registro; portanto, a baixa qualidade dos registros médicos encontrados servirá para fomentar discuss es com a equipe, a fim de contribuir para um melhor atendimento médico, beneficiando os pacientes.
Pleomorphic adenoma with extensive squamous metaplasia and keratin cyst formations in minor salivary gland: a case report
Goulart, Maria Carolina Vaz;Freitas-Faria, Patrícia;Goulart, Gláuter Rodrigues;Oliveira, Adriano Macedo de;Carlos-Bregni, Roman;Soares, Cleverson Teixeira;Lara, Vanessa Soares;
Journal of Applied Oral Science , 2011, DOI: 10.1590/S1678-77572011000200016
Abstract: pleomorphic adenoma (pa), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland tumors. it most frequently affects the parotid gland, followed by the submandibular and the minor salivary glands. microscopically, mucous, sebaceous, oncocytic and squamous metaplasia, sometimes with the formation of keratin pearls, may be present, but the latter rarely results in the formation of extensive keratin-flled cysts lined by squamous epithelium. extensive squamous metaplasia can be mistaken for malignancy, including mucoepidermoid carcinoma and squamous cell carcinoma. here, we present an unusual case of pa with extensive squamous metaplasia and keratin cyst formations in a minor salivary gland, and discuss its microscopic features, including the immunohistochemical characteristics, and differential diagnosis of this uncommon presentation.
Auditoria médica: avalia??o de alguns procedimentos inseridos no programa de aten??o integral à saúde da mulher no posto de saúde da Vila Municipal, Pelotas, Rio Grande do Sul, Brasil
Costa, Juvenal Soares Dias da;Roman, Vania Rosa;Luz, Rafael Moura da;Manzolli, Patricia Portantiolo;Correa, Pedro;Recuero, Luis Fernando;
Cadernos de Saúde Pública , 1998, DOI: 10.1590/S0102-311X1998000100012
Abstract: this study is based on a medical audit of the vila municipal health clinic, pelotas, rio grande do sul. we collected data from family medical records in 1992, 1993, and 1994. the data concerned the women's integral health care program. we collected information on age, visits for medical and non-medical reasons, blood pressure, breast examination, coverage of pap smear testing, and contraceptive methods. on average, women visited the clinic 3.5 to 4 times a year; 53% of the women were between 20 and 39 years of age; 42.5% of the women had had a pap smear in the previous three years; 19% of the women had had their breasts examined. blood pressure measurement was the most common procedure recorded in this clinic. we believe quality of medical records is a factor in patient care. we expect a critique of the low-quality medical records found in this audit can serve as the basis for a discussion among the health care team, with a view towards improving medical care, thereby benefiting patients.
Mathematical Model of Embodied Symbols: Cognition and Perceptual Symbol System  [PDF]
Leonid Perlovsky, Roman Ilin
Journal of Behavioral and Brain Science (JBBS) , 2012, DOI: 10.4236/jbbs.2012.22024
Abstract: A mathematical model of perceptual symbol system is developed. This development requires new mathematical methods of dynamic logic (DL), which have overcome limitations of classical artificial intelligence and connectionist approaches. The paper discusses these past limitations, relates them to combinatorial complexity (exponential explosion) of algorithms in the past, and relates it further to the static nature of classical logic. DL is a process-logic; its salient property is evolution of vague representations into crisp. We first consider one aspect of PSS: situation learning from object perceptions. Next DL is related to PSS mechanisms of concepts, simulators, grounding, embodiment, productiveity, binding, recursion, and to the mechanisms relating embodied-grounded and amodal symbols. We discuss DL capability for modeling cognition on multiple levels of abstraction. PSS is extended toward interaction between cognition and language. Experimental predictions of the theory are discussed. They might influence experimental psychology and impact future theoretical developments in cognitive science, including knowledge representation, and mechanisms of interaction between perception, cognition, and language. All mathematical equations are also discussed conceptually, so mathematical understanding is not required. Experimental evidence for DL and PSS in brain imaging is discussed as well as future research directions.
Fractal Parametric Oscillator as a Model of a Nonlinear Oscillation System in Natural Mediums  [PDF]
Roman I. Parovik
Int'l J. of Communications, Network and System Sciences (IJCNS) , 2013, DOI: 10.4236/ijcns.2013.63016
Abstract:

The paper presents a model of fractal parametric oscillator. Showing that the solution of such a model exists and is unique. A study of the solution with the aid of diagrams Stratton-Ince. The regions of instability, which can occur parametric resonance. It is suggested that this solution can be any signal, including acoustic.

Working Time Reductions and Labour Force Participation in Unemployment Contexts: A Note  [PDF]
Angel Martin-Roman
Theoretical Economics Letters (TEL) , 2014, DOI: 10.4236/tel.2014.43025
Abstract: Work-sharing measures aim to reduce unemployment. When politicians are more interested in fostering this kind of measures is when the official unemployment rate published in statistics rises. There is already an important body of research addressing this issue, but it has mainly focused on the labour demand side. Nevertheless, it must not be forgotten that unemployment is determined both by demand and supply. The neoclassical model of labour supply predicts that a reduction of standard working hours encourages labour market participation. In this paper we show that this unambiguous result vanishes precisely when high unemployment makes that search transaction costs cannot be considered negligible.
Analytical Modeling of Vibration of Micropolar Plates  [PDF]
Lev Steinberg, Roman Kvasov
Applied Mathematics (AM) , 2015, DOI: 10.4236/am.2015.65077
Abstract: This paper presents an extension of mathematical static model to dynamic problems of micropolar elastic plates, recently developed by the authors. The dynamic model is based on the generalization of Hellinger-Prange-Reissner (HPR) variational principle for the linearized micropolar (Cosserat) elastodynamics. The vibration model incorporates high accuracy assumptions of the micropolar plate deformation. The computations predict additional natural frequencies, related with the material microstructure. These results are consistent with the size-effect principle known from the micropolar plate deformation. The classic Mindlin-Reissner plate resonance frequencies appear as a limiting case for homogeneous materials with no microstructure.
The Explanation of the Michelson-Morley Experiment Results by Means Universal Frame of Reference  [PDF]
Karol Szostek, Roman Szostek
Journal of Modern Physics (JMP) , 2017, DOI: 10.4236/jmp.2017.811110
Abstract: It is commonly thought that the Michelson-Morley experiment from 1887 and Kennedy-Thorndike experiment from 1932 demonstrated that the universal frame of reference (ether) does not exist and that the velocity of light in vacuum is absolutely constant. The analysis of this experiment led to the creation of the Special Theory of Relativity (STR). The article explains why Michelson-Morley and Kennedy-Thorndike experiments could not detect the universal frame of reference. In this article, a different transformation of time and position than the Lorentz transformation is derived on the basis of the geometric analysis of the Michelson-Morley and Kennedy-Thorndike experiments. The transformation is derived based on the assumption that the universal frame of reference (UFR) exists. UFR is a frame of reference in which the velocity of light is constant in every direction. In inertial frames of reference moving in the UFR, the velocity of light may be different. The article has derived the formula for relative speed and patterns for the maximum and minimum speed of light that can be measured in the inertial system. Finally, the anisotropy of the microwave background radiation has been explained by using the presented theory. According to the body kinematics model presented in this article, anisotropy of cosmic microwave background is the Doppler effect for observer moving in the UFR.
Reporte de caso y serie de casos: una aproximación para el pregrado
Franco Romaní Romaní
CIMEL. Ciencia e Investigación Médica Estudiantil Latinoamericana , 2010,
Abstract: La frecuencia de publicación de reportes y series de casos se ha incrementado con el transcurrir del tiempo. El reporte de un caso es la publicación biomédica que hace un reporte detallado de síntomas, signos, resultados de estudios auxiliares, tratamiento, complicaciones del tratamiento y seguimiento de un paciente individual, mientras que una serie de casos reporta entre 2 a 10 casos con alguna característica semejante que los vuelve agrupables. Los reportes de caso no permiten establecer causalidad y han ido perdiendo lugar en un cada vez mayor número de revistas por: su bajo rigor científico o por su bajo nivel de aplicación general en la práctica médica. Entre los criterios para que un caso sea evaluable se necesita que el caso sea una condición o enfermedad nueva, condición rara, infrecuente o poco comunicada, presentación inusual de enfermedad común o poco frecuente, entre otros. Cada reporte de caso presenta una condición única que tiene un valor educativo para el lector y que sirve para el planteamiento de hipótesis o la aparición de nuevas inquietudes que posteriormente puedan sean estudiadas mediante métodos más complejos.
Risk and Uncertainty in Anesthesia  [PDF]
Roman Pohorecki,Gary E. Hill
Open Journal of Anesthesiology (OJAnes) , 2013, DOI: 10.4236/ojanes.2013.37072
Abstract: This article discusses risk and uncertainty, both stochastic and epistemic, as it applies to anesthesia. It shows the difficulty in quantifying risk of individual case and the somewhat arbitrary and even incorrect and naive assignment of risk in individual patient care management. Effective and honest communication remains at the core of physician-patient relationship in discussing, evaluating and managing the individual case for optimum outcome as well as patients’ and their families' satisfaction and understanding.
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